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Wagoner Care Center Llc
Skilled Nursing Facility in Wagoner, Oklahoma
NPI 1225178429

Wagoner Care Center Llc is a Skilled Nursing Facility based in Wagoner, OK. Wagoner Care Center Llc practices in Wagoner, OK. The NPI Number for Wagoner Care Center Llc is 1225178429 and holds a License No. 100771420A (Oklahoma).

The current practice location address for Wagoner Care Center Llc is 205 N Lincoln Ave, Wagoner, OK and can be reached out via phone at 918-485-2203 and via fax at 918-485-6673.

Location: 205 N Lincoln Ave, Wagoner, OK, 74467-3915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225178429
Provider Name
Wagoner Care Center Llc
Credential
Provider Entity Type
Organization
Address
205 N Lincoln Ave, Wagoner, OK, 74467-3915
Phone Number
918-485-2203
Fax Number
918-485-6673
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100771420A 05 OK
institution
Provider Business Practice Location Address Details
Address
205 N Lincoln Ave
City
Wagoner
State
Oklahoma
Zip
74467-3915
Phone Number
918-485-2203
Fax Number
918-485-6673
person
Provider Business Mailing Address Details
Address
205 N Lincoln Ave
City
Wagoner
State
Oklahoma
Zip
74467-3915
Phone Number
918-485-2203
Fax Number
918-485-6673
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
100771420A (Oklahoma)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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